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Thread: MRI and pain please

  1. #1

    MRI and pain please

    pain pain pain
    ok so im new on here and hope i dont offend any one and i follow the rules. I have been having pain issues for years. my back and neck mainly. I had seen the same pain managment dr. for years and had to move due to my divorce. so i have been taking 10/500 6 daily hydros for years. I am seeing a new dr. since dec. (which is kinda funny cause i have never seen the same person twice since ive been going to this facility) The hydros havent been working for a very long time, but i was too afraid to say anthing about them not working as well, because i just didnt know what they would give me to replace it, i had thought that was the strongest you could get. but my pain has increase so much more as of late that i was getting worried, in the past i have had the nerves in my neck burnt in several locations twice with in two years. so i knew i couldnt do that again, So i told the doctORS that i am seeing now that my pain had increased and that i also was having a lot of numbness it my arms legs, feet, it would start out as tingels and then just hurt like hell. i even fell a couple of times. when i told the dr.s this they drug tested me. i was upset but took it, had a MRI dont even though i couldnt afford it, the last weekend i just hurt every where, head, neck, back my whole body was hurting, nothing was giving me any relief, i called my dr.s office and they couldnt get me in so i had to go to the E.R where they called my dr office to see what they were allowed to give me. I finally got a shot of morphine, got a little relief and was told to call my dr office and they would adjust my pain meds and i would get the results from my MRI.
    here is where every thing just goes to shit.!!!! here is what the mri reads as
    findings:
    there is a loss of the lorotic survature of the spine. there is eveidence of some decreased signal within the cervical discs compatible with desiccation. mild reduced height of the cervical discs are appreciated. there is no abnormal increase in the predontoid space at C2C3,C3-C4, and C4-C5, there is no narrowing of the spinal canal and neuroforamina.

    at C5-C6, there is a 2-3 mm broadbased disc herniation, which flattens the thecal sac, the neuroforamina are patent.

    At C6C7 there is a 2-3 mm braodbased disc herniation, more promient to the leftmidline, which impinges along the anterior thecal sac and extends to the level of the cord. there is no signal abnormality within the cord to suggest atrophy or cuntusion. no mass affected on the cord is identified. the neruoforamina are patent.

    impressions
    1 at C6-C7, there is a 2 to3 mm broadbased disc herniation, more prominent to the left midline, which impinges along the anterior thecal sac and extends to the level of the cord. there is no significant abnormality within the cord to suggest atrophy or contusion. no mass affected on the cord. the neruoforamamina are patent.
    2. at C5-C6, there is a 2 to 3 mm broadbased herniated disc, which flattens the thecal sac. the neuroformaina are patent.
    3. straightening of the spine compatible with muscle spasms.

    i know some of it was repetetive but i wanted to whole thing to be looked at, so some one can tell me what the hell it means. the other doctor who read it told me that ppl walk aroundlike this all the time and dont even know it. so all i know is i have some ruptured discs that hurt like hell. my shoulder blades hurt constanly, always the burn/pins blunt pain, then my lower back always hurts. alot of the time when my lower back hurts it skips my right buttocks and wraps around my inside right leg and freaking hurts soo bad.
    i told the doctor that day that she read my MRI that the painkillers were not working any more. the names of drugs that she listed off i had never heard of. i told her i just wanted to take less pill more potent with a timed control so that they worked even when i was asleep, as i wake up 10 times a night. here is what i got suboxone. and that i was to come back in 6 days and start on nerotin. the first day i took it, i called all my friends who were in pain and said this is it!! no nagging feeling, i feel so much better.....for about 4 hours! that night every thing hurt worse, i never did go to sleep. i called the clinic and they never called me back, the next day still no sleep. i waited for them to call, started searching online about suboxone and kept wondering why every thing shows for detox. i still just thought that i would take the suboxone and when the nerotin was added every thing would be fine. when i called to the clinic and told them that my week of meds would run out before my next appointment on 6/1 with 1 weeks worth of meds they told me i would not get a refill as i was on a detox program. I FREAKED OUT!!! that is not what i ask for. again i called, when they called me back they said i couldnt have any more suboxone, and i was like WTF I HAVE SUBOXONE. they told me not to worry and some one would call me. nothing. i went in yesterday at 5 bawling my head off, i told them they misunderstood this isnt what i wanted. they assured me it was a mistake and they would take care of it this a.m because all the doctors were gone. NOTHING at 11 a.m i called and they said the dr that treated me wouldnt be in till tomorrow. so i drove up there told them i dont want to see a doctor .i want to know why i was so missunderstood and for some one to help me. That im in pain and this isnt what i wanted. they made me sit in the waiting room crying , and a nursed called me while i was sitting there to tell me i couldnt get in today. that they were full. i was sitting in a empty waiting room!!! i was the only one in there, she came out again told me it would be tomorrow at 8:30 and to bring the suboxone! now if anyone take the time to read this please help me understand for one why im hurting sooo bad and too what the hell did i say in there to lead them to belive that i wanted to be in detox and freaking hurt worse than i already am.!!!!!!!!! thank you to any one who reads this epic that homer would be proud of!

  2. #2
    hi gurlinpain

    sorry you're suffering, something seems out of kilter here. I think I would park myself in an ER til I got somewhere.

    I don't know of suboxone for anything but detox but it should help somewhat if stoppoing the narcotics has added to the problem.

    Are you taking it per schedule, did you accelerate the schedule and take them early and are running out? this gets most docs upset.

    Hope you find some relief.

    Kindly,

    Bill

  3. #3
    Moderator jody's Avatar
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    The doctor may think you are a drug seeker. you need to see a pain specialist. neurontin may work for you for awhile, at least with the glassy burn. do you have inflamation? Id consider finding a doc with ears on the outside of his head, and less beanbrained receptionist. really though, a pain doc, and be sure to have your films and the reports when you go. you will have a much easyer time being understood.

  4. #4
    Quote Originally Posted by bollefen View Post
    hi gurlinpain

    sorry you're suffering, something seems out of kilter here. I think I would park myself in an ER til I got somewhere.

    I don't know of suboxone for anything but detox but it should help somewhat if stoppoing the narcotics has added to the problem.

    Are you taking it per schedule, did you accelerate the schedule and take them early and are running out? this gets most docs upset.

    Hope you find some relief.

    Kindly,

    Bill

    no i have the exzact amount im supposed to , i didnt want that kind of meds, it was a diffrent doctor that rx'ed i thought i was getting something a little stronger, while im about to have more test done.

  5. #5
    Quote Originally Posted by jody View Post
    The doctor may think you are a drug seeker. you need to see a pain specialist. neurontin may work for you for awhile, at least with the glassy burn. do you have inflamation? Id consider finding a doc with ears on the outside of his head, and less beanbrained receptionist. really though, a pain doc, and be sure to have your films and the reports when you go. you will have a much easyer time being understood.

    girl id did go to a pain managment doctor, i had the mris. done through that facility, i only said that i didnt want that drug anymore because i had built such a tolerance to it after so long, as far as a earlier post about drug seeking, i dont see how, i was on the same meds for 7 years, only recently wanting to change it to some thing that works..... i also want some one to understand/translate the MRI they didnt even do that. i have really painful stuff going on, so its not about the drugs, well it is . but its about treatment, understanding the MRI and where the hell did the suboxone come into to it. if i was fishing for drugs i would have know, thats not what i wanted, lol

  6. #6
    Have you taken your scans to a Neurosurgeon to get an evaluation and opinion? It might be valuable for you. They could interpret your scans for you plus give you an opinion as to what you could do.....
    jon

  7. #7
    Gurl,

    It's an unfortunate education your getting. I know you are beyond pissed, but it's a very confusing and subjective field of medical practice. First, your pain. I would image the quickest way to get help is contacting your old MD and get a letter describing the care you've receive for the last 7 years. Without any past information, you are starting from scratch. There are some things that don't sound real good for you when presented to a new PM doc. You have been on hydrocodone for 7 years? 10/500 six times a day? That's alot of acetemetiphen (Tylenol) for you stomach to handle! I mean alot! And, it's no wonder you get no releif from them. Yes, you have developed a tolerance. The withdrawl symtoms are going to increase your perceived pain. The brain is known to increase pain when it wants more of the drug. Plus, you may very well have increased physical reasons for the pain increase. I wish I could paint you a better picture of the immediate situation, but I think your going to have to dig deep for some patience before anything significant is going to happen. That's why I think your best shot in the short term is your old doc. Most doctors are overwhelmed by people hunting for drugs, and they have to be extremely careful. Their license is on the line. The Feds are constantly sending in undercover "patients" to see if the clinics are legit or drug farms. So the MRI is the first hoop you have to jump through in order for the doc to see if your pain is visually explanable. Your old doc had to have good medical reasons for treating you with your meds. You have to have those records for any new clinic to view you as legit. Next is the choice of new doctor. There are lots of pain clinics, but not that many good ones. Is the doctor certified in pain management? Have a number of years in the field? Does the doctor even believe in drug therapy? Many do not! When you read through the different threads and posts in this forum, you'll find there are lots of different meds for different kinds of pain. The hydro you've been taking is usually used for acute pain. Short term. Neurontin is for neuro (nerve) pain and is used by many members. For the doc to do his/her job properly and ethically, there are many questions and probably tests, that have to be evaluated. I know you are steaming about the current situation. Your old doctor knew this was going to happen. The MRI and the quanity of hydrocodone your taking must be telling this particular doctor that a bit of a detox is in order so you can be better evaluated. What you asked for, more drugs or more potent drugs, is not really how these places work. If you get angry at the staff or the doctor, you best do it in a respectful way or you'll be asked to leave. OK.....so this isn't helping you and you're hurting. I know. We know! We've been in your shoe before. Many of us had to learn how the system works the hard way, just as you are doing now. It sucks. No arguement here. But, this is how it works. The MRI can be read by 3 other radiologists and you'll get 3 different readings. It's a very subjective medical field. Your old doc should give you enough time to seek the best clinic in the area, get the tests you require and gather the records you need. You may just find your pain decrease if you give the detox a fair shot. Stress is a great pain enhancer. I really feel for you! Hope I haven't been too blut, but this is the stuff I had to learn and I've been in this world for 12 years. There are people in here that really know what their talking abut. I'm just a regular sap. If I have given you bad info, I hope someone will point it out. I just want to help. Good luck. I'm pullin' for ya!!!
    No matter how cynical I try to be, I just can't seem to keep up with how bad things really are!

  8. #8
    no, i appreciate the info, so matter how it comes out as, before i even has a appt. i had my old records transfered! they have all of those, they included the info on the tens unit, the neck cartarizations, the med increases, they did start out at 7.5 and in the last 3 years went to 10/500. all of the back injections i had. so they have all of this info. tues before they started me on the sub. i was in the e.r with pain so bad it was unbearable. so putting me on the sub, confuses me there to. ( she has said some thing about being uncomfortable for a few weeks), which i quikly said i do not want anything that it going to make me hurt worse right now. So again i did say i dont want the hydros any more, but i clarified with i would really love to have some thing stronger that has more of a continued release with out having to take so many pain killers a day.

  9. #9
    Even after i called my pharmicy after i picked yp the meds i was confused, when i read the insert i looked suboxoe up on the internet, its used as a pain killer in the UK the United stated still uses it to detox, so i talk to the PX about it for a while as she confirmed that yes it could be used with the nerotin as a pain killer, so the 1st day i called back the clinic as said that i thought maybe the nerotin had been for gotten because we had talked about it, they said no i had the 2 perscribed meds i was supposed too. the sub. and zanaflex, so i do think that is part of the problem with the receptionist as well as far as asking for more meds i was still trying to educate my self on what i was taking and why. i told the dr.s office this and my pharmacy. so even after i found out i was on the sub i was trying to make it work, they just plain and simply got put out with me asking ?'s they couldnt answer because the dr. had not updated her notes as of thursday. they were still waiting for the dictation. i know im rehashing again and again, but if im paying a crap ton of money for a MRI for upper and lower images you think they would go over them with you, i had to ask to read them, and later when i was upset for a copy so that i could try and figure it out.

  10. #10

    patient's bill of rights?

    I get you're confusion. Did you read Dr. Wise's post on a simular post? Sounds to me like you've got yourself in a doctoring for profit clinic. Lots of them out there, the bastards. Most states have a patients bill of rights. If they have been trounced on, you may have legal recourse. An attorney's opinion is usually free. You've been screwed. Perhaps just a letter from an attorney will get you the attention you deserve for now. But, in the mean time, can you get your old doc to refill your script? Even if you have to invest in a ticket to get there it's better than the pain. I once had the pharmacist Fed Ex meds to me after the PM clinic called it in to him. Maybe....? Good luck!!!!!!!!
    No matter how cynical I try to be, I just can't seem to keep up with how bad things really are!

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